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Provider Notice Issued 11/30/2022

Date:   November 30, 2022

To:       Long Term Care Nursing Home Providers 

Re:      Fiscal Year 2023 Long Term Care Provider Assessment Outstanding Balance Worksheets – Occupied Bed Assessment April-June 2022 Reporting Periods

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Pursuant to Public Act 102-1035, long term care providers are to be assessed per occupied bed day in an amount varying with the number of paid Medicaid resident days per annum in the facility with the following schedule of occupied bed tax amounts.  This assessment is due and payable each month.  The tax shall follow the schedule below effective July 1, 2022, and be rebased by the Department at the beginning of each calendar year.

 

Rate Tier based on number of paid Medicaid resident days per annum 10/1/2020-9/30/2021 

a.)     $10.67 – 0-5,000 paid Medicaid resident days per annum

b.)     $19.20 – 5,001-15,000 paid Medicaid resident days per annum

c.)     $22.40 – 15,001-35,000 paid Medicaid resident days per annum

d.)     $19.20 – 35,001-55,000 paid Medicaid resident days per annum

e.)     $13.86 – 55,001-65,000 paid Medicaid resident days per annum

f.)      $10.67 – 65,001+ paid Medicaid resident days per annum

g.)     $ 7.00 – Any non-profit nursing facilities without Medicaid certified beds

 

The published Rate Tier by facility can be found at Long Term Care | HFS (illinois.gov)

An "occupied bed day" is defined as the sum of all beds multiplied by the number of days during the month on which each bed was occupied by a resident, other than a resident for whom Medicare Part A is the primary payer. By law, this assessment cannot be billed or passed on to any resident of a nursing home. 

As a reminder, for a resident whose care is covered by the Medicare Medicaid Alignment Initiative (MMAI) demonstration, Medicare Part A is considered the primary payer.  Enrollment of residents into MMAI are not expected to increase the tax burden on any nursing facility as these beds are counted as Medicare beds and will not be charged the per day assessment.  

To reduce the burden on facilities during the transition to the new assessment rate schedule, the Department offered facilities the option to delay full payment of the April 2022, May 2022, and June 2022 reporting periods (July, August, and September assessment periods).  Facilities were assessed the new tiered rates for these periods; however, only required to pay each non-Medicare A occupied bed day at the rate of $6.07 by the established due dates.  This was offered with the understanding that the remaining assessment amounts were to be paid in December 2022, March 2023, and June 2023, respectively. 

IMPORTANT CLARIFICATIONS 

  • Beginning with the July 2022 reporting period (October 2022 assessment period), reports must be submitted with the new assigned rate and paid in full by the scheduled due date.  If any reports have submitted for the reporting periods of July -September 2022 with the old rate of $6.07, they will need to be submitted with the correct rate and be accompanied by a check for the difference if applicable. 
  • Do not submit reports for the October 2022 reporting period (January 2023 assessment period) or any subsequent reporting period, as the rates will be rebased by the Department at the beginning of the calendar year and take effect beginning with the October 2022 reporting period (January 2023 assessment period) due February 15, 2023.  Providers will receive packets with the new rates at least 30 days prior to the February 15, 2023, date. 
  • At this time, the HFS MEDI website should not be used for electronic submission of the Monthly Assessment Report.  Once the system has been updated to allow the expanded primary payment source data now required, a Provider Notice will be posted to the website.  Please use the HFS1446 (R-7-22) form to submit the Monthly Assessment Report.  You may access the electronic PDF form at http://www.illinois.gov/hfs/SiteCollectionDocuments/hfs1446.pdf 
  • Medicare Advantage bed days are to be categorized as "Other," and are NOT considered Medicare A bed days. 

 

PURPOSE OF NOTICE 

The purpose of this notice is to provide information on the payment of the outstanding balances for the reporting periods of April 2022, May 2022, and June 2022 (July, August, and September assessment periods) occupied bed assessments.  Please read the enclosed material carefully.  The packet should include the following material: 

WORKSHEETS 

Included with this Provider Notice are calculation worksheets for the April 2022, May 2022, and June 2022 reporting periods (July, August, and September assessment periods), which, after signature, must be returned with the payment.   

CHART OF IMPORTANT DATES 

The chart identifies all the critical due dates for the outstanding Balances for the April-June 2022 reporting periods (July-September assessment periods) and should be posted for easy reference. 

A copy of the signed worksheet must accompany the payment and must be postmarked on or before the due date for the payment to be considered as received on time.

If no payment is required, please sign the worksheet and return via email to HFS.ProviderAssessmentUnit@illinois.gov.  

Failure to pay the full balance of the monthly assessment on or before the due date will result in the assessment of a 5% penalty against the remaining assessment amount due.

Any dispute with or questions regarding the content of the worksheets, please contact the Bureau of Rate Development and Analysis, Assessment Unit, at (217) 524‑7110 or via e-mail at HFS.ProviderAssessmentUnit@illinois.gov.


Kathleen Staley, Bureau Chief

Bureau of Rate Development and Analysis


Fiscal Year 2023 LTC Occupied Bed

Provider Assessment Delayed Balance (Fund 345)

Chart of Important Dates

LTC Tax Report Reporting PeriodAssessment Period

Balance of Provider Assessment Payment

Due Date

April 1 – 30, 2022July-2022December 30, 2022*
May 1 – 31, 2022August-2022March 10, 2023
June 1 – 30, 2022September-2022June 12, 2023**


*Due date extended

**Due date moved to first day of business after June 10th



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